Billing Beat

Changes to National Correct Coding Initiative Edits, Version 10.2

July 1, 2004

Correct Coding Initiative (CCI) Edits Version 10.2 (Effective July 1, 2004 – September 30, 2004) will be implemented. CMS implemented National CCI Edits in 1996 for the purpose of identifying and eliminating the incorrect codes of medical services.

  • No Comprehensive/Compound code pairs were deleted from the list
  • No Mutually Exclusive code pairs were deleted from the list
  • No Comprehensive/Compound code pairs were deleted
  • Two CP pairs were modified
  • New CP Pairs contains newly added Comprehensive/Component pairs
  • New ME Pairs contains newly added Mutually Exclusive pairs

The following CP pairs were modified:

Eff Date Standard Policy Statement
85025 85027 1/1/2003 More extensive procedure
85048 85008 10/1/2003 Misuse of Column 2 code with Column 1 code

The following CP pairs are new:

Eff Date Standard Policy Statement
87267 80502 7/1/2004 Standards of medical / surgical practice
87269 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
88173 88329 7/1/2004 Misuse of Column 2 code with Column 1 code
87660 83891 7/1/2004 More extensive procedure
87660 83890 7/1/2004 More extensive procedure
87660 83893 7/1/2004 More extensive procedure
87290 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87290 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87271 80500 7/1/2004 Standards of medical / surgical practice
87254 87267 7/1/2004 Misuse of Column 2 code with Column 1 code
87272 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87276 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
0033T 0039T 7/1/2004 Misuse of Column 2 code with Column 1 code
87329 87206 7/1/2004 More extensive procedure
87278 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87660 83896 7/1/2004 More extensive procedure
87278 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
0035T 0039T 7/1/2004 Misuse of Column 2 code with Column 1 code
0033T 0040T 7/1/2004 Misuse of Column 2 code with Column 1 code
87660 83898 7/1/2004 More extensive procedure
0034T 0040T 7/1/2004 Misuse of Column 2 code with Column 1 code
85380 85379 7/1/2004 More extensive procedure
87660 83897 7/1/2004 More extensive procedure
87283 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87279 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87660 83901 7/1/2004 More extensive procedure
0055T 0054T 7/1/2004 More extensive procedure
87277 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
0054T 0056T 7/1/2004 More extensive procedure
87140 87267 7/1/2004 Misuse of Column 2 code with Column 1 code
87270 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87267 80500 7/1/2004 Standards of medical / surgical practice
87660 83892 7/1/2004 More extensive procedure
87267 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87273 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87283 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87265 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87277 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87269 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87276 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87269 80502 7/1/2004 Standards of medical / surgical practice
87281 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87660 83912 7/1/2004 Misuse of Column 2 code with Column 1 code
87271 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87279 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87271 80502 7/1/2004 Standards of medical / surgical practice
87271 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87273 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87299 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87269 80500 7/1/2004 Standards of medical / surgical practice
87299 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87280 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87660 83894 7/1/2004 More extensive procedure
87274 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87329 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
0034T 0038T 7/1/2004 Misuse of Column 2 code with Column 1 code
87329 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87260 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87274 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87281 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87285 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
87660 80502 7/1/2004 Standards of medical / surgical practice
88172 88329 7/1/2004 Misuse of Column 2 code with Column 1 code
85380 85378 7/1/2004 More extensive procedure
87270 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87253 87267 7/1/2004 Misuse of Column 2 code with Column 1 code
87660 83902 7/1/2004 More extensive procedure
87260 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87660 80500 7/1/2004 Standards of medical / surgical practice
87267 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87285 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
0055T 0056T 7/1/2004 More extensive procedure
87272 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87275 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87265 88346 7/1/2004 Misuse of Column 2 code with Column 1 code
87275 88347 7/1/2004 Misuse of Column 2 code with Column 1 code
0035T 0038T 7/1/2004 Misuse of Column 2 code with Column 1 code

The following codes were added as mutually exclusive procedures:

Eff Date Standard Policy Statement
87497 87271 7/1/2004 Mutually exclusive procedures
88173 88108 7/1/2004 Mutually exclusive procedures
87660 87210 7/1/2004 Mutually exclusive procedures
87332 87271 7/1/2004 Mutually exclusive procedures
87660 87177 7/1/2004 Mutually exclusive procedures
87255 87253 7/1/2004 Mutually exclusive procedures
0038T 0040T 7/1/2004 Mutually exclusive procedures
0039T 0040T 7/1/2004 Mutually exclusive procedures
87255 87254 7/1/2004 Mutually exclusive procedures
87496 87271 7/1/2004 Mutually exclusive procedures
0038T 0039T 7/1/2004 Mutually exclusive procedures
87269 87329 7/1/2004 Mutually exclusive procedures
0044T 0045T 7/1/2004 Mutually exclusive procedures
87495 87271 7/1/2004 Mutually exclusive procedures
0033T 0034T 7/1/2004 Mutually exclusive procedures

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